{"id":327438,"date":"2025-11-28T12:13:24","date_gmt":"2025-11-28T11:13:24","guid":{"rendered":"https:\/\/vithas.es\/?post_type=diagnosticprocedure&p=327438"},"modified":"2025-11-28T12:13:24","modified_gmt":"2025-11-28T11:13:24","slug":"jitter-o-emg-de-fibra-unica","status":"publish","type":"diagnosticprocedure","link":"https:\/\/vithas.es\/ca\/prueba-diagnostica\/jitter-o-emg-de-fibra-unica\/","title":{"rendered":"Jitter o EMG de fibra \u00fanica"},"template":"","diagnosticproceduretype":[2232],"class_list":["post-327438","diagnosticprocedure","type-diagnosticprocedure","status-publish","hentry"],"wpml_translations":{"ca":{"id":"327438","slug":"jitter-o-emg-de-fibra-unica","lang":"ca"},"es":{"id":"662","slug":"jitter-o-emg-de-fibra-unica","lang":"es"}},"yoast_head":"\nJitter o EMG de fibra \u00fanica : que es y para que sirve - Vithas<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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150w, https:\/\/vithas.es\/wp-content\/uploads\/2024\/12\/GettyImages-1179712322-168x168.webp 168w, https:\/\/vithas.es\/wp-content\/uploads\/2024\/12\/GettyImages-1179712322-120x120.webp 120w, https:\/\/vithas.es\/wp-content\/uploads\/2024\/12\/GettyImages-1179712322-48x48.webp 48w"}],"vth_tuotempo":"","vth_kentico_id":"184","vth_description":"<h2>\u00bfQu\u00e9 \u00e9s?<\/h2>\r\nEl jitter o estudi de fibra \u00fanica es una exploraci\u00f3 molt sensible (95%) per al diagn\u00f3stic de malalties que afecten la placa motora, com la Miast\u00e8nia. Es realitza amb una agulla especial, que \u00e9s capa\u00e7 d'explorar una fibra muscular a\u00efllada (l'estudi EMG normal estudia unitats motores, que estan compostes de diverses fibres musculars).\r\n\r\nRecull temps de transmissi\u00f3 molt petits, de microsegons. Perqu\u00e8 el m\u00f3sculte es contregui cal un est\u00edmul del nervi, cosa que allibera una quantitat d'un neurotransmissor anomenat AcetilColina a la uni\u00f3 entre el nervi i el m\u00e9s;\r\n\r\nEn una situaci\u00f3 normal hi ha AcetilColina suficient per produir la contracci\u00f3 muscular repetides vegades.\r\n<ul>\r\n \t<li>A l'estudi de fibra \u00fanica o jitter el que es fa \u00e9s mesurar el temps que triga a produir-se la contracci\u00f3 muscular.<\/li>\r\n \t<li>Si el m\u00fascul&ea;s normal es contraur\u00e0; sempre despr\u00e9s del temps d'estimulaci\u00f3 del nervi, perqu hi ha AcetilColina suficient per produir cada contracci\u00f3.<\/li>\r\n \t<li>Si no hi ha prou AcetilColina despr\u00e9s d'uns quants est&agcute;muls al nervi pot endarrerir-se la contracci\u00f3 muscular, o fins i tot no apar\u00e8ixer.<\/li>\r\n \t<li>Aquest fenomen s'anomena augment en la variabilitat de la contracci\u00f3 muscular, o jitter, i es veu en pr\u00e1cticament tots els casos de problemes de placa motora.<\/li>\r\n \t<li>A la Miast\u00e8nia Gravis hi ha anticossos contra els receptors d'acetilcolina, per la qual cosa no arriba prou a l'interior del m\u00f3scul, produint-se alteracions en la contracci\u00f3 que es tradueixen en debilitat. Aqu\u00ed el jitter \u00e9s patol\u00f3gic.<\/li>\r\n<\/ul>\r\n<h2>\u00bfC\u00f3mo m'he de preparar?<\/h2>\r\n<ul>\r\n \t<li>No es requereix preparaci\u00f3 especial per a la realitzaci\u00f3 de \u200b\u200bl'electromiograma, per la qual cosa no cal acudir en dej\u00fa. Tampoc no \u00e9s obligatori acudir acompanyat.<\/li>\r\n \t<li>Es recomana evitar l'\u00fas de qualsevol crema o loci\u00f3 el dia de l'examen a la zona on s'aplicaran els el\u00e8ctrodes. Tamb\u00e9 \u00e9s recomanable no fer exercici f\u00edsic intens els cinc dies previs a la prova.<\/li>\r\n \t<li>La temperatura corporal pot afectar els resultats d'aquest examen. Si fa molt de temps fora, espereu en un quart tebi per una estona abans que es faci l'examen.<\/li>\r\n \t<li>Abans de fer l'examen, com&eacuteu-lo a la persona que l'est\u00e9u; realitzant si est&ag;s prenent f\u00e1rmacs contra l'epil\u00e8psia, malalties psiqui&agacte;triques, antiarr\u00edtmics, relaxants musculars, antiagregants, anticoagulants o antiinframatioris.<\/li>\r\n<\/ul>\r\n<h2>\u00bfC\u00f3mo es fa?<\/h2>\r\n<ul>\r\n \t<li>L'electromiograma es realitza normalment de forma ambulat\u00f2ria i la durada de la prova \u00e9s de 20-30 minuts.<\/li>\r\n \t<li>Una vegada finalitzada, podreu tornar a casa amb normalitat.<\/li>\r\n \t<li>Haur\u00e0 de despullar la zona a estudiar i, un cop neta as&agcute;pticament, el m\u00e9dic introduir\u00e1 un el\u00e8ctrode d\u00e2\u20ac\u2122agulla molt prim a trav\u00e9s de la pell dins del m\u00fascle.<\/li>\r\n \t<li>L'el\u00e8ctrode a l'agulla detecta l'activitat el\u00e9ctrica alliberada pels m\u00fasculs. Aquesta activitat apareix en un monitor proper i es pot escoltar a trav\u00e9s d'altaveu.<\/li>\r\n \t<li>Despu\u00e9s de la col\u00b7locaci\u00f3 dels el\u00e8ctrodes, se't pot demanar que contraguis el m\u00f3scle perqu\u2a9a els el\u00e8ctrodes registrin l'activitat el\u00e9ctrica. Despr&ea;s, es realitzar\u00e0; la prova de manera contr\u00e0ria i els el\u00e8ctrodes realitzaran desc\u00e0rregues el\u00e8ctriques que provocaran contraccions musculars.<\/li>\r\n<\/ul>\r\n<h2>\u00bfQu\u00e9 se sent?<\/h2>\r\n<ul>\r\n \t<li>Durant la realitzaci\u00f3 de l'estudi, es pot sentir una mica de dolor o mol\u00e8stia en el moment en qu\u00e8 s'introdueixen les agulles, per\u00f2 la majoria de les persones s\u00f3n capaces de completar l'examen sense problema.<\/li>\r\n \t<li>Tambi\u00e9 poden augmentar les mol\u00e8sties en moure els m\u00f3sculs, per\u00f3ho ser\u00e9 uns segons.<\/li>\r\n<\/ul>\r\n<h2>Recuperaci\u00f3<\/h2>\r\n<ul>\r\n \t<li>Una vegada acabada la prova, el pacient pot sentir dolor o sensibilitat en el m\u00f3scle o patir l'aparici\u00f3 d'hematomes per uns quants dies.<\/li>\r\n \t<li>Al terme de la prova pot ser necessari pressionar el punt de punci\u00f3 per evitar el sagnat.<\/li>\r\n \t<li>Es netejar\u00e0; de nou la zona i es posaran petits ap\u00f3sits als punts de punci\u00f3<\/li>\r\n<\/ul>\r\n<h2>\u00bfQu\u00e9 riscos existeixen?<\/h2>\r\n<ul>\r\n \t<li>L'electromiograma \u00e9s una prova for\u00e7a segura, poc invasiva i que gaireb\u00e9 no implica riscos.<\/li>\r\n \t<li>Tampoc hi ha riscos per a l'embar\u00e0s<\/li>\r\n \t<li>No obstant, es pot donar un sagnat (m\u00ednim) o infecci\u00f3 als llocs d'inserci\u00f3 dels el\u00e8ctrodes, una cosa extremadament inusual gr\u00e0cies a l'\u00fas d'agulles esterilitzades d'un sol \u00fas.<\/li>\r\n \t<li>Seg\u00fa el lloc explorat pot apar\u00e8ixer alguna complicaci\u00f3 sobre estructures properes al m\u00fascul, encara que s\u00f3n molt poc freq\u00fcents les descrites.<\/li>\r\n \t<li>Altres complicacions que s'han descrit en relaci\u00f3 \u00e9s que alguns dels el\u00e8ctrodes poden arribar a irritar la pell en persones especialment sensibles, cosa no gaire freq\u00fcent.<\/li>\r\n<\/ul>","vth_diagnostic_procedure_location":[]},"_links":{"self":[{"href":"https:\/\/vithas.es\/ca\/wp-json\/wp\/v2\/diagnosticprocedure\/327438","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vithas.es\/ca\/wp-json\/wp\/v2\/diagnosticprocedure"}],"about":[{"href":"https:\/\/vithas.es\/ca\/wp-json\/wp\/v2\/types\/diagnosticprocedure"}],"version-history":[{"count":1,"href":"https:\/\/vithas.es\/ca\/wp-json\/wp\/v2\/diagnosticprocedure\/327438\/revisions"}],"predecessor-version":[{"id":327439,"href":"https:\/\/vithas.es\/ca\/wp-json\/wp\/v2\/diagnosticprocedure\/327438\/revisions\/327439"}],"wp:attachment":[{"href":"https:\/\/vithas.es\/ca\/wp-json\/wp\/v2\/media?parent=327438"}],"wp:term":[{"taxonomy":"diagnosticproceduretype","embeddable":true,"href":"https:\/\/vithas.es\/ca\/wp-json\/wp\/v2\/diagnosticproceduretype?post=327438"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}